Organization Active NPI

Elson Lai, MD, a Professional Corporation

  • Ophthalmologic Surgery Clinic/Center
  • Rosemead, CA
National Provider Identifier
1053741280
Registry record updated Nov 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X
License
A116241 Issued in CA
Legal business name
ELSON LAI, MD, A PROFESSIONAL CORPORATION
Practice address
9428 Valley Blvd Ste 201
Rosemead, CA 91770-1514
Phone
(626) 353-0399
NPI assigned
Nov 25, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Elson Lai, MDNPI 1750549192
Title
President
Phone
(626) 353-0399

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmologic Surgery Clinic/Center 261QS0132X A116241 CA Primary

Addresses

Primary practice location

9428 Valley Blvd Ste 201
Rosemead, CA 91770-1514

Mailing address

9428 Valley Blvd Ste 201
Rosemead, CA 91770-1514
Phone (626) 353-0399

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140414000059 CA Part B Supplier - Clinic/Group Practice 7719119361 Receives reassigned benefits from 2 practitioners
Practice locations: Rosemead, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1385337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385337600000",
    "number": "1053741280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9428 VALLEY BLVD STE 201",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "917701514",
            "telephone_number": "626-353-0399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9428 VALLEY BLVD STE 201",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "917701514",
            "telephone_number": "626-353-0399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELSON LAI, MD, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-25",
        "last_updated": "2013-11-25",
        "status": "A",
        "authorized_official_last_name": "LAI",
        "authorized_official_first_name": "ELSON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-353-0399",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": "CA",
            "license": "A116241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosemead, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.